What's the safer route for me, the new Ideal Implant or the "Gummy Bear" implants?

Thank you for the question. Personally, I prefer Ideal Structured Saline Implants over "Gummy Bear" implants due to ongoing concerns about the textured surface of the Gummy Bear implant and the need to get MRI or Ultrasound study every several years to check for leakage or rupture. If a saline implant leaks, your body safely absorbs the saline and you only need to look in the mirror to know there is a leak. With the Ideal Implants, they have a lower leakage rate than any other implant on the market, according to the FDA data. I have been using saline and silicone gel implants for many years, and think the Ideal Implant is a great new option for patients to consider. I hope this helps. Good luck.

Good day! For your guidance, the Ideal Implant™ is recently FDA approved and is now being offered at the Pacific Center for Plastic Surgery Newport Beach. This type of implant was created for women who desire a more natural feeling implant than traditional saline implants but are not comfortable having silicone implants in their body. The unique structure of the Ideal Implant allows for a similar look and feel as silicone with the safety of saline. It requires no monitoring, has no known association with any health conditions and has the lowest rate of rupture of any implant.
Find a board-certified plastic surgeon that has extensive experience with ideal implant and discuss realistic goals and expectations. Best of luck! #RealSelf100

Natural feel is not the only thing women care about. The FDA approved intact silicone gel implants as safe. However, if a gel implant ruptures the implant and any gel should be removed including the surrounding capsule (capsulectomy). IDEAL® IMPLANT offers women natural feel without the risk of silent rupture. Women value the advantages of IDEAL® IMPLANT over silicone gel:
Rupture Advantages
No silent rupturesSaline absorbed, free Silicone Gel remainsNo MRI needed to detect rupturesLook in the mirror to know implants are intactEasy to remove and replaced if rupturedFiller Advantages
Only saline inside for peace of mindSafety of salineNo silicone gel in the bodyClinical Advantages
Youthful shape/contourLower capsule contracture rateHigher rupture strengthLow rupture rate

Thank you for your question. It's difficult to give exact recommendations without photos or a consultation as each person's anatomy is different and implants should be chosen based on what is best for that particular candidate. Generally speaking, Ideal Implants are filled with saline, so if there is a rupture, the saline will safely absorb into the body and the patient will know there has been a rupture. Gummy bear implants are made of silicone and usually feel more natural than traditional saline implants. You need to have an MRI every three years to make sure that there is not a rupture as you will not be able to tell. Both are very safe and have a very low chance of rupture. The nice thing about Ideal Implants is that they feel more like silicone implants than traditional saline implants so many patients opt for this option. Regardless, make sure you're working with a board certified plastic surgeon to determine which choice will meet your specific needs and goals. 

Both are safe. The Gummy Bear implants are technically the Sientra implants and have been around for probably 10 years. They are cohesive silicone gel and feel very natural. The Ideal Implants are newer, are FDA approved and were released for use about one year ago (after a 5 year study period). They are structured saline implants and give a feel very similar to gel but without the gel to have to deal with.